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Open Access 01-09-2019 | Original Communication

Vibrotactile feedback improves balance and mobility in patients with severe bilateral vestibular loss

Authors: Herman Kingma, Lilian Felipe, Marie-Cecile Gerards, Peter Gerits, Nils Guinand, Angelica Perez-Fornos, Vladimir Demkin, Raymond van de Berg

Published in: Journal of Neurology | Special Issue 1/2019

Abstract

The impact of vibrotactile feedback of the gravity vector, provided by a “balance” belt worn around the waist, was evaluated in 39 patients with a severe bilateral vestibular loss, confirmed by extensive laboratory testing and suffering from a low quality of life, mainly due to imbalance. The mobility and balance score (MBS) of all patients prior to the use of the belt was equal or less than 5 out of a scale of 10. Thirty-one out of the 39 patients experienced the effect of the belt on their balance and mobility as positive in a preselection trial of 2 h in the hospital. The 31 positive responders then used the belt for 1 month in daily life. The average MBS increased significantly from 4.2 to 7.9 (paired T test, T = 9.82, p < 0.00001). Twenty-three out of 31 patients reported a benefit ranging from an improvement of 60–200% in their MBS. Eight patients did not experience any benefit. In summary, 23 out of 39 patients with a severe imbalance due to a bilateral vestibular loss experienced a clear benefit of vibrotactile feed = back in daily life. We conclude that vibrotactile feedback via the waist can serve as an effective prothesis for patients with severe bilateral vestibular loss to improve the quality of life.

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Title: Vibrotactile feedback improves balance and mobility in patients with severe bilateral vestibular loss
Authors: Herman Kingma
Lilian Felipe
Marie-Cecile Gerards
Peter Gerits
Nils Guinand
Angelica Perez-Fornos
Vladimir Demkin
Raymond van de Berg
Publication date: 01-09-2019
Publisher: Springer Berlin Heidelberg
Published in: Journal of Neurology / Issue Special Issue 1/2019
Print ISSN: 0340-5354
Electronic ISSN: 1432-1459
DOI: https://doi.org/10.1007/s00415-018-9133-z

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Vibrotactile feedback improves balance and mobility in patients with severe bilateral vestibular loss

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